RCEM Scotland: Huge increases in extreme A&E waits ‘dangerous and shameful’

More than TEN TIMES as many people waited over 12 hours in Scottish A&Es in August 2023 than in August 2019 – an increase branded ‘dangerous and shameful’ by the Royal College of Emergency Medicine.

The figure has been calculated using data published yesterday (3 October 2023) by Public Health Scotland and reveals how many people visited a major Emergency Department in Scotland in August 2023.

When compared with August 2019 (pre-pandemic) they show the number of people waiting:  

  • more than four hours is up from 14,372 to 39,147 
  • more than eight-hours is up from 1,395 to 10,793
  • more than 12-hours is up from 352 to 3,847.

The data for August 2023 shows:

  • 116,673 people visited a major Emergency Department in Scotland – almost 6,000 more than the previous month (110,854).
  • 67.90% of patients were seen within four-hours at major Emergency Departments.
    • This is a decrease of 1.7% from the previous month.
  • 37,415 patients waited more than four-hours in major Emergency Departments, which is a 9.8% increase from the previous month and an 5.3% decrease from August 2022.
  • 10,793 (9%) patients waited eight-hours or more in an Emergency Department
    • This is an increase of 2% from the previous month. But a 1.9% decrease compared with August 2022.
  • 3,847 (3%) patients waited more than 12-hours before being seen, admitted, discharged, or transferred
    • This figure has increased 0.9% from the previous month, but decreased by 1% compared with August 2022.
  • There were 1,797 beds occupied due to delayed discharges, the most for any August on record. 

Visualisations for the data are available here.

Responding to the figures, Dr John-Paul Loughrey, RCEM Vice President for Scotland, said: “When you compare figures month-on-month you only get a snapshot of what is happening, but when you take a longer view it reveals the bigger, much more concerning picture.

“To think that in just three years we have seen the percentage of people experiencing extreme waits increasing so significantly is shocking.

“But worse than that it is shameful, and it is dangerous. We know long waits increase the risk of people dying.

“The system is stretched to beyond capacity. Nobody wants to be in this situation – not patients and certainly not clinicians. And this should not be blamed on the pandemic – it is symptomatic of a much wider issue.

“In the short term, we need decisive and urgent action from the Scottish Government to avert what is looking like an inevitable winter A&E crisis, but we also need and effective long-term strategy to reverse this unacceptable situation.”  

Honouring Scotland’s Heroes

Fallen police officers among Brave@Heart Award winners

Two police officers killed in the line of duty have been honoured with posthumous Brave@Heart Awards by the First Minister.

Constable George Taylor was murdered in 1976 after two restricted patients absconded from the State Hospital in Carstairs. Detective Sergeant Ross Hunt was killed in 1983 in South Lanarkshire as he investigated a knife attack.

The officers are among 24 members of the emergency services and the public to receive Brave@Heart Awards this year.

The awards recognise acts of bravery and heroism across Scotland, with nominations made by the emergency services, and winners selected by an independent validation panel. Four of this year’s winners also received the St Andrew’s Award for acts of exceptional bravery.

Brave@Heart award winners include two supermarket workers who tackled a knife-wielding attacker, two schoolboys whose quick thinking saved the day when members of their families suffered medical emergencies, and an off-duty firefighter who entered a burning block of flats and led residents to safety.

First Minister Humza Yousaf, who presented the awards at a ceremony in Edinburgh Castle, said: “The courage and heroism shown by the award-winners is truly humbling. In every case, they didn’t hesitate to act when it came to helping others.

“I was particularly honoured to present posthumous Brave@Heart Awards to the families of Constable Taylor and Detective Sergeant Hunt.

“These officers put themselves in harm’s way to protect other people and, tragically, they paid with their lives.

“They are true heroes whose bravery and sacrifice has been overlooked for far too long. I also commend the courage and determination of the families and colleagues who have campaigned over the years for the officers’ heroism to be properly recognised.”

Brave@Heart Validation Panel Chair David Garbutt said: “It has been a privilege and an honour to chair the panel considering the nominations for these awards, recognising the fantastic achievements of people throughout Scotland who have shown courage and selflessness in helping others and keeping our communities safe.”